Patient Room — 2B

Patient refuses medication.
Breaks objects, then apologizes.
Asks if damage can be undone.

PATIENT NAME: EMILIO D.
ROOM: 2B
STATUS: UNSTABLE
AFFECT: VOLATILE / REACTIVE
NOTE: "RESTRAINTS REMOVED — TEMPORARY"
LUNAR PHASE AT ADMISSION: FULL MOON

Intake Summary

Emilio arrived agitated but cooperative. Compliance deteriorated when intake questions became personal. Patient exhibits extreme emotional surges followed by visible remorse.

“I didn’t mean to— I just— it was already too much.”

Patient requested restraints be removed immediately after placement. Cried afterward. Did not resist re-entry into room.

Observed Behaviors

Pacing in tight, repetitive patterns.
Clenched fists; trembling hands.
Sudden outbursts followed by immediate apology.
Difficulty regulating volume.
Expresses fear of hurting others.

Patient demonstrates high emotional intensity with poor modulation. Periods of calm are brief but sincere.

Medical Notes

— Elevated heart rate during emotional spikes.
— Stress response disproportionate to stimuli.
— Medication refused; patient fears “numbness.”
— Reports sensation of pressure “building up.”

Recommend non-invasive grounding techniques before pharmacological intervention.

Psychological Evaluation

Emilio exhibits unresolved grief manifesting as anger. Emotions appear to arrive fully formed and overwhelming. Patient expresses shame over loss of control.

“Anger gets there first. The rest comes later.”

Full moon correlation noted: symptoms intensify during peak lunar visibility.

Staff Observations

NURSE D: “He apologized for yelling before I could respond.”

ORDERLY A: “He looks afraid of himself afterward.”

DR. KOON: “Emilio feels everything at maximum volume.”

Restricted Notes

Patient displays awareness of consequences before actions occur, yet cannot interrupt emotional escalation.

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He knows he is dangerous. He does not want to be.